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Yan S, Zhao J, Han Y, Wang R, Bai K, Ge J, Pan Y, Zhao H. The Challenges in Investigating the Pathogenesis of Sensitive Skin by Noninvasive Measurements: A Systematic Review. CLINICAL, COSMETIC AND INVESTIGATIONAL DERMATOLOGY 2023; 16:237-251. [PMID: 36726811 PMCID: PMC9885880 DOI: 10.2147/ccid.s392925] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 01/14/2023] [Indexed: 01/28/2023]
Abstract
Sensitive skin (SS) is a common cutaneous condition that seriously affects people's quality of life, but studies of sensitive skin pathogenesis are unclear, the exploration are ongoing, and the biophysical properties of sensitive skin disagree with the study results. In this paper, we summarize the noninvasive biophysical and imaging instrumental methods used for sensitive skin and provide support for the classification of sensitive skin subtypes to prescribe precise treatment. PubMed and Web of Science databases were searched according to PRISMA guidelines for articles from January 1971 to May 2022 that used noninvasive biophysical or imaging methods to monitor adult subjects with sensitive skin. The quality of the included articles was determined based on 22 items of the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) statement. A total of 55 studies were included, representing 8 biophysical and 5 imaging methods and their applications in treatment efficacy evaluation studies. The biophysical parameter and cutaneous morphological property changes in sensitive skin subjects were observed. The quality of the studies was relatively low, and there was high variability in results between studies. Several parameters have shown tremendous potential in exploring the pathogenesis with different sensitive skin subtypes: type I may be detected with higher transepidermal water loss and lower stratum corneum hydration values, as well as with thinner epidermis with a shallower and more irregular honeycomb structure; Type II and III are more prone to higher blood flow, lower current perception threshold than normal skin. This systematic review identifies key reasons for the lack of uniform trends in noninvasive measurements and recommends the use of effective selection instruments or relevant parameters to explore the pathogenesis of sensitive skin, and to differentiate the subtypes of sensitive skin for achieving the precise treatment.
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Affiliation(s)
- Shiyu Yan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Jinfeng Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Yuqing Han
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Rui Wang
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Kexuan Bai
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Junxin Ge
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Yao Pan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China,Correspondence: Yao Pan, Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, 11 Fu Cheng Road, Hai Dian District, Beijing, 10048, People’s Republic of China, Tel +86-10-68984937, Email
| | - Hua Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
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Goh CL, Wu Y, Welsh B, Abad-Casintahan MF, Tseng CJ, Sharad J, Jung S, Rojanamatin J, Sitohang IBS, Chan HNK. Expert consensus on holistic skin care routine: Focus on acne, rosacea, atopic dermatitis, and sensitive skin syndrome. J Cosmet Dermatol 2023; 22:45-54. [PMID: 36409588 DOI: 10.1111/jocd.15519] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 11/03/2022] [Accepted: 11/07/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND Treatment, cleansing, moisturizing, and photoprotection are four major components of holistic skin care for dermatological conditions. While treatment (T) is recognized as a key component in the management of dermatological conditions, there is a lack of practical guidance on the adjunctive role of cleansing, moisturizing, and photoprotection ("CMP"). Limited patient knowledge, confusion over product selection, and lack of guidance on how to choose and use CMP skin care products (in conjunction with pharmacological therapy) are the main barriers to establishing a holistic skin care routine for dermatological conditions. AIMS This study aimed to review current clinical evidence, identify gaps, and provide practical guidance on conceptualization and implementation of CMP routine in the management of sensitive skin due to underlying acne, atopic dermatitis, or rosacea, including conditions with idiopathic causes referred to as idiopathic sensitive skin syndrome. METHODS An expert panel comprising of 10 dermatologists from Australia, China, Hong Kong, Taiwan, India, Indonesia, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements on holistic skin care in acne, rosacea, atopic dermatitis, and idiopathic sensitive skin syndrome using the Delphi approach. RESULTS Consensus was defined as ≥80% of panel rating statement as ≥8 or median rating of ≥8. The final statements were collated to develop consensus recommendations on holistic skin care. CONCLUSION A dermatologist-guided holistic skin care routine is essential to improve patient confidence and reduce confusion over product selection. The consensus recommendations presented here highlight the importance of cleansing, moisturization, and photoprotection in holistic skin care and how it can be utilized as a communication tool for physicians and patients to achieve overall better patient compliance, satisfaction, and treatment outcomes.
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Affiliation(s)
| | - Yan Wu
- Department of Dermatology, Peking University First Hospital, Beijing, China
| | - Belinda Welsh
- Director Complete Skin Specialists, Melbourne, Victoria, Australia
| | | | - Chung-Jen Tseng
- Taiwanese Society for Dermatological and Aesthetic Surgery, Taiwan, China
| | | | - SungKyu Jung
- Doctors Dermatology Clinic, Jamsil and Songpa Clinic, Seoul, South Korea
| | | | - Irma Bernadette S Sitohang
- Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
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Silva D, Gomes A, Ms Lobo J, Almeida V, Almeida IF. Management of skin adverse reactions in oncology. J Oncol Pharm Pract 2020; 26:1703-1714. [PMID: 32635811 DOI: 10.1177/1078155220936341] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Chemo and targeted anticancer therapies present significant skin adverse reactions, which impair the patients' quality of life. Cutaneous toxicities lead to poor treatment adherence, drug cessation, and psychosocial distress. This review aims to summarize the current knowledge concerning the prevention and management of skin toxicity arising from these therapies. A systematic literature search on online databases was conducted. The categorization of the main preventive and treatment measures was performed according to the level of evidence. Management of skin adverse reactions of oncology treatments is very heterogeneous, which can be explained by the lack of sound evidence-based treatments. The most studied adverse effects are papulopustular eruption, xerosis, and hand-foot syndrome. Prevention of xerosis stands out as the strategy most supported by level II studies. With respect to treatment, the use of antibiotics in papulopustular eruption resulting from anti-epidermal growth factor receptor agents is the most evidence-based approach. In general, the number of studies published in the literature classified with a level II of evidence (52%) is similar to the ones classified as level IV (33%), making clear the need of more randomized controlled trials regarding the effectiveness of preventive and treatment measures of skin adverse reactions of chemo and targeted anticancer therapies.
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Affiliation(s)
- Diva Silva
- Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - Ana Gomes
- Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - José Ms Lobo
- Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal.,UCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - Vera Almeida
- UCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal.,92909CESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Gandra, Portugal
| | - Isabel F Almeida
- Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal.,UCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
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4
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Nisbet SJ, Targett D, Rawlings AV, Qian K, Wang X, Lin CB, Thompson MA, Bulsara PA, Moore DJ. Clinical and in vitro evaluation of new anti-redness cosmetic products in subjects with winter xerosis and sensitive skin. Int J Cosmet Sci 2020; 41:534-547. [PMID: 31309600 PMCID: PMC6899962 DOI: 10.1111/ics.12559] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 07/11/2019] [Indexed: 12/20/2022]
Abstract
Objective To demonstrate the in vitro activities of panthenol, palmitoylethanolamide (PEA), and niacinamide (NAM) and determine the biophysical properties, clinical safety, tolerability together with efficacy of two developmental anti‐redness (AR) formulations containing these ingredients, in alleviating facial redness associated with winter xerosis in healthy volunteers with sensitive skin. Methods The anti‐inflammatory and skin protective properties of panthenol, PEA and NAM were evaluated in vitro. The physical properties of the AR formulations were analysed using measurement of water vapour transport rate (WVTR) and infrared spectroscopy. Clinical studies were performed between the months of December and April (2014–2015) with efficacy assessed during the winter. Facial redness, irritation, sensitization potential, photo‐irritation, and photo‐sensitization were evaluated. Self‐assessed adverse reactions were reported in diaries of use. Results Panthenol and PEA reduced prostaglandin E2, interleukin‐6, and thymic stromal lymphopoietin levels in vitro, while NAM induced nicotinamide adenine dinucleotide (NAD) levels and the keratinocyte differentiation markers: filaggrin (2‐fold increase, P < 0.001), loricrin (2‐fold increase, P < 0.05), involucrin (2 fold increase, P < 0.001) & peroxisomal proliferator activated receptor‐alpha (1.5 fold increase, P < 0.05). The two AR products exhibited low WVTR vs. no treatment (P < 0.001) and displayed an ordered lipid structure. The day cream formulation protected against ultraviolet B radiation in vitro. A total of 382 participants were included in clinical studies which showed the AR formulations significantly improved facial redness associated with winter xerosis (Day 29 mean change from baseline: AR day cream 0.77 (P < 0.001); AR serum 0.67 (P < 0.001)). No irritation, sensitization, photo‐irritation, photo‐sensitization or product‐related adverse reactions were observed or reported in the clinical studies. Conclusion The new products significantly improved skin redness associated with winter xerosis in participants with self‐perceived sensitive skin. Both products were well tolerated with a suitable safety profile for topical use in subjects with sensitive skin.
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Affiliation(s)
- S J Nisbet
- Skin Health Research & Development at GlaxoSmithKline Consumer Healthcare, Weybridge, Surrey, UK
| | - D Targett
- Primoris Contract Solutions Ltd., Ascot, Berkshire, UK
| | | | - K Qian
- Thomas J. Stephens & Associates, Richardson, TX, USA
| | - X Wang
- GlaxoSmithKline, Collegeville, PA, USA
| | - C B Lin
- GlaxoSmithKline, Collegeville, PA, USA
| | - M A Thompson
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
| | - P A Bulsara
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
| | - D J Moore
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
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5
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A variety of processes that affect the perception of skin aging. CURRENT ISSUES IN PHARMACY AND MEDICAL SCIENCES 2019. [DOI: 10.2478/cipms-2019-0027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
The purpose of this paper is to discuss the most important factors affecting perceived age. Aging is an unavoidable and irreversible process, but perceived age is a modifiable psychosocial factor. Our exterior has become one of the determinants of our social position, the key to success in our professional and personal lives. Today, we see people through their appearance, we judge after the first impression. With the help of aesthetic medicine, we can change the perceived age, but we cannot stop aging. This article discusses factors affecting the perceived age, such as hair color, skin color, general appearance and environmental factors. Many cannot be avoided, but we can make changes in life to look younger and more well-groomed. Indeed, we can change our habits for the benefit of the whole body, not only for the skin.
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Li Z, Hu L, Elias PM, Man MQ. Skin care products can aggravate epidermal function: studies in a murine model suggest a pathogenic role in sensitive skin. Contact Dermatitis 2017; 78:151-158. [PMID: 29152821 DOI: 10.1111/cod.12909] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 09/12/2017] [Accepted: 09/17/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Sensitive skin is defined as a spectrum of unpleasant sensations in response to a variety of stimuli. However, only some skin care products provoke cutaneous symptoms in individuals with sensitive skin. Hence, it would be useful to identify products that could provoke cutaneous symptoms in individuals with sensitive skin. OBJECTIVE To assess whether vehicles, as well as certain branded skin care products, can alter epidermal function following topical applications to normal mouse skin. METHODS Following topical applications of individual vehicle or skin care product to C57BL/6J mice twice daily for 4 days, transepidermal water loss (TEWL) rates, stratum corneum (SC) hydration and skin surface pH were measured on treated versus untreated mouse skin with an MPA5 device and pH 900 pH meter. RESULTS Our results show that all tested products induced abnormalities in epidermal functions of varying severity, including elevations in TEWL and skin surface pH, and reduced SC hydration. CONCLUSIONS Our results suggest that mice can serve as a predictive model that could be used to evaluate the potential safety of skin care products in humans with sensitive skin.
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Affiliation(s)
- Zhengxiao Li
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.,Dermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USA
| | - Lizhi Hu
- Key Laboratory of Immune Microenvironment and Disease (Ministry of State Education), Immunology Department, Tianjin Medical University, Tianjin, 300070, China
| | - Peter M Elias
- Dermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USA
| | - Mao-Qiang Man
- Dermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USA
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7
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de Farias Pires T, Azambuja AP, Horimoto ARVR, Nakamura MS, de Oliveira Alvim R, Krieger JE, Pereira AC. A population-based study of the stratum corneum moisture. Clin Cosmet Investig Dermatol 2016; 9:79-87. [PMID: 27143945 PMCID: PMC4845893 DOI: 10.2147/ccid.s88485] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND The stratum corneum (SC) has important functions as a bound-water modulator and a primary barrier of the human skin from the external environment. However, no large epidemiological study has quantified the relative importance of different exposures with regard to these functional properties. In this study, we have studied a large sample of individuals from the Brazilian population in order to understand the different relationships between the properties of SC and a number of demographic and self-perceived variables. METHODS One thousand three hundred and thirty-nine individuals from a rural Brazilian population, who were participants of a family-based study, were submitted to a cross-sectional examination of the SC moisture by capacitance using the Corneometer® CM820 and investigated regarding environmental exposures, cosmetic use, and other physiological and epidemiological measurements. Self-perception-scaled questions about skin conditions were also applied. RESULTS We found significant associations between SC moisture and sex, age, high sun exposure, and sunscreen use frequency (P<0.025). In specific studied sites, self-reported race and obesity were also found to show significant effects. Dry skin self-perception was also found to be highly correlated with the objective measurement of the skin. Other environmental effects on SC moisture are also reported.
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Affiliation(s)
- Thiago de Farias Pires
- Laboratory of Genetics and Molecular Cardiology, Heart Institute, University of São Paulo Medical School, Cajamar, SP, Brazil
| | | | | | | | - Rafael de Oliveira Alvim
- Laboratory of Genetics and Molecular Cardiology, Heart Institute, University of São Paulo Medical School, Cajamar, SP, Brazil
| | - José Eduardo Krieger
- Laboratory of Genetics and Molecular Cardiology, Heart Institute, University of São Paulo Medical School, Cajamar, SP, Brazil
| | - Alexandre Costa Pereira
- Laboratory of Genetics and Molecular Cardiology, Heart Institute, University of São Paulo Medical School, Cajamar, SP, Brazil
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8
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The Relationship of Proper Skin Cleansing to Pathophysiology, Clinical Benefits, and the Concomitant Use of Prescription Topical Therapies in Patients with Acne Vulgaris. Dermatol Clin 2016; 34:133-45. [DOI: 10.1016/j.det.2015.11.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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9
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Rosacea. J Am Acad Dermatol 2015; 72:761-70; quiz 771-2. [DOI: 10.1016/j.jaad.2014.08.027] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Revised: 08/01/2014] [Accepted: 08/18/2014] [Indexed: 01/26/2023]
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10
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Gunn D, Dick J, van Heemst D, Griffiths C, Tomlin C, Murray P, Griffiths T, Ogden S, Mayes A, Westendorp R, Slagboom P, de Craen A. Lifestyle and youthful looks. Br J Dermatol 2015; 172:1338-45. [DOI: 10.1111/bjd.13646] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2014] [Indexed: 12/20/2022]
Affiliation(s)
- D.A. Gunn
- Unilever R&D; Colworth House; Sharnbrook Bedfordshire MK44 1LQ U.K
| | - J.L. Dick
- Unilever R&D; Colworth House; Sharnbrook Bedfordshire MK44 1LQ U.K
| | - D. van Heemst
- Department of Gerontology and Geriatrics; Leiden University Medical Center; Leiden the Netherlands
| | - C.E.M. Griffiths
- Dermatology Research Centre; Salford Royal Hospital; University of Manchester; Manchester Academic Health Science Centre; Manchester U.K
| | - C.C. Tomlin
- Unilever R&D; Colworth House; Sharnbrook Bedfordshire MK44 1LQ U.K
| | - P.G. Murray
- Unilever R&D; Colworth House; Sharnbrook Bedfordshire MK44 1LQ U.K
| | - T.W. Griffiths
- Dermatology Research Centre; Salford Royal Hospital; University of Manchester; Manchester Academic Health Science Centre; Manchester U.K
| | - S. Ogden
- Dermatology Research Centre; Salford Royal Hospital; University of Manchester; Manchester Academic Health Science Centre; Manchester U.K
| | - A.E. Mayes
- Unilever R&D; Colworth House; Sharnbrook Bedfordshire MK44 1LQ U.K
| | - R.G.J. Westendorp
- Department of Gerontology and Geriatrics; Leiden University Medical Center; Leiden the Netherlands
- Netherlands Consortium for Healthy Aging (NCHA); the Netherlands
| | - P.E. Slagboom
- Netherlands Consortium for Healthy Aging (NCHA); the Netherlands
- Section of Molecular Epidemiology; Department of Medical Statistics and Bioinformatics; Leiden University Medical Center; Leiden the Netherlands
| | - A.J.M. de Craen
- Department of Gerontology and Geriatrics; Leiden University Medical Center; Leiden the Netherlands
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Darlenski R, Kazandjieva J, Tsankov N. Is there an increased skin irritation and contact sensitization in atopic dermatitis? ACTA ACUST UNITED AC 2014. [DOI: 10.1586/edm.11.8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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13
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Weigmann HJ, Sainte Claire MS, Schanzer S, Patzelt A, Meinke M, Antoniou C, Sterry W, Lademann J. Determination of the protection efficacy and homogeneity of the distribution of sunscreens applied onto skin pre-treated with cosmetic products. Skin Res Technol 2011; 18:245-50. [DOI: 10.1111/j.1600-0846.2011.00563.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2011] [Indexed: 11/29/2022]
Affiliation(s)
- Hans-Jürgen Weigmann
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | - Maude Suisse Sainte Claire
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | - Sabine Schanzer
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | - Alexa Patzelt
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | - Martina Meinke
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | | | - Wolfram Sterry
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
| | - Jürgen Lademann
- Department of Dermatology; Center of Experimental and Applied Cutaneous Physiology; Charité-Universitätsmedizin Berlin; Berlin; Germany
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Abstract
Rosacea is a chronic inflammatory disease with a predominance of facial manifestations. The prevalence is increasing with age, peaking in the group aged older than 65 years. In 1997, one in eight Americans was aged 65 years and older. By 2030, more than 70 million individuals will be in this age group. This contribution reviews the current understanding of pathogenesis, aggravating factors, classification, comorbidities, and treatment options. Rosacea is a manageable disease that negatively affects quality of life. Rosacea increases the risk of depression and shows a significant proportion of extracutaneous manifestations, in particular ocular rosacea.
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Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Friedrichstrasse 41, 01067 Dresden, Germany.
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15
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Mayes AE, Murray PG, Gunn DA, Tomlin CC, Catt SD, Wen YB, Zhou LP, Wang HQ, Catt M, Granger SP. Environmental and lifestyle factors associated with perceived facial age in Chinese women. PLoS One 2010; 5:e15270. [PMID: 21179450 PMCID: PMC3001488 DOI: 10.1371/journal.pone.0015270] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2010] [Accepted: 11/03/2010] [Indexed: 01/30/2023] Open
Abstract
Perceived facial age has been proposed as a biomarker of ageing with 'looking young for one's age' linked to physical and cognitive functioning and to increased survival for Caucasians. We have investigated the environmental and lifestyle factors associated with perceived facial ageing in Chinese women. Facial photographs were collected from 250 Chinese women, aged 25-70 years in Shanghai, China. Perceived facial age was determined and related to chronological age for each participant. Lifestyle and health information was collected by questionnaire. Bivariate analyses (controlling for chronological age) identified and quantified lifestyle variables associated with perceived facial age. Independent predictors of perceived age were identified by multivariate modelling. Factors which significantly associated with looking younger for one's chronological age included greater years of education (p<0.001), fewer household members (p=0.027), menopausal status (p=0.020), frequency of visiting one's doctor (p=0.013), working indoors (p<0.001), spending less time in the sun (p=0.015), moderate levels of physical activity (p=0.004), higher frequency of teeth cleaning (p<0.001) and more frequent use of facial care products: cleanser (p<0.001); moisturiser (p=0.016) or night cream (p=0.016). Overall, 36.5% of the variation in the difference between perceived and chronological age could be explained by a combination of chronological age and 6 independent lifestyle variables. We have thus identified and quantified a number of factors associated with younger appearance in Chinese women. Presentation of these factors in the context of facial appearance could provide significant motivation for the adoption of a range of healthy behaviours at the level of both individuals and populations.
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Affiliation(s)
- Andrew E Mayes
- Unilever Discover, Colworth Science Park, Sharnbrook, United Kingdom.
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